Individual provider Active NPI

Olivia Grace Lee, PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1285116160
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3402 F St
Philadelphia, PA 19134-1225
Phone
(215) 634-5481
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3402 F St
Philadelphia, PA 19134-1225

Mailing address

4009 Runnymeade Dr
Collegeville, PA 19426-3253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191120002535 PA Practitioner - Physician Assistant 4587096193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, shared by 15 NPIs, 3,433 clinicians

Practice addresses (Care Compare)

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127

3400 Civic Ctr Blvd 1St Floor W PA
Mycobacterial Clinic
Philadelphia, PA 19104-5161
Phone (215) 662-6932

3400 Civic Ctr Blvd 2ND FLR W
Advanced Internal Med
Philadelphia, PA 19104-5127
Phone (215) 615-5252

3400 Civic Ctr Blvd 4TH FL W Pav
Penn Int Medc Perelman
Philadelphia, PA 19104-5134
Phone (215) 662-2468

3400 Civic Ctr Boulevard 1St Floor
Penn Personalized Care Advanced Internal Me
Philadelphia, PA 19104-5161
Phone (215) 615-5252

3400 Spruce St
Philadelphia, PA 19104-4238

3550 Market St
FL 2
Philadelphia, PA 19104-3366
Phone (215) 662-9908

3600 Civic Ctr Blvd
Philadelphia, PA 19104

3701 Market St
Philadelphia, PA 19104-5508

3701 Market St
Suite 370
Philadelphia, PA 19104-5505
Phone (215) 615-3232

3737 Market St
Suite 9
Philadelphia, PA 19104-5545
Phone (215) 662-8777

3801 Filbert St Mab
102 Penn Center for Primary Care
Philadelphia, PA 19104-2640
Phone (215) 662-9990

3801 Filbert St Mab 1St FLR
Infectious Disease PPMC
Philadelphia, PA 19104-2640
Phone (215) 662-9908

51 N 39TH St
Philadelphia, PA 19104-2640
Phone (215) 662-9436

51 N 39TH Street 3910 BLDG 2ND
Infect Disease Presby
Philadelphia, PA 19104-2640
Phone (215) 662-9990

51 N 39TH Street Mab
Philadelphia, PA 19104-2640
Phone (215) 662-9990

51 N 39TH Stret
Hospital Med Presby
Philadelphia, PA 19104-2640
Phone (215) 662-9990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Oct 10, 2019 Accepting new patients
University of Penn-Medical Group CurrentSince Oct 10, 2019 Accepting new patients
University of Penn - Medical Group CurrentSince Oct 10, 2019 Accepting new patients

Locations

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3701 Market St
Fl 6
Philadelphia, PA 19104
Phone (215) 662-2250

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1285116160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 RUNNYMEADE DR",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 F ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341225",
            "telephone_number": "215-634-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "OLIVIA",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.